Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Mark J Landry, NP

Individual provider Emergency Medicine Physician · NPI 1679518823

Mr. Mark J Landry, NP is a Nurse Practitioner in Lafayette, Louisiana. Qualified in 2004, 22 years ago. Practices with Minute Med Clinic LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
22
Licensed in
LA
In the registry since
2006
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3621 Ambassador Caffery Pkwy Ste 100
Lafayette, LA 70503-5132
Phone: (337) 534-4410
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP04519 (LA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence RN095042 (LA)

Record details

NPI number1679518823
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 19, 2006
Last updated in NPPESFebruary 17, 2023
Certification dateFebruary 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Minute Med Clinic Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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